Individual
JODIE SUGIYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
4850 UNION AVE, SAN JOSE, CA 95124-5156
(408) 559-5600
Mailing address
4850 UNION AVE, SAN JOSE, CA 95124-5156
(408) 559-5600
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
383997
CA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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